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Evolution of Poliovirus Type I during 5.5 Years of Prolonged Enteral Replication in an Immunodeficient Patient
Open accessAbstract
Poliovirus type 1 was isolated from an immunodeficient patient 4 days after onset of paresis (IS1) and after 5.5 years of prolonged enteral virus replication (IS2). Antigenic characterization revealed that IS1 was Sabin 1-like, whereas IS2 reacted like poliovirus 1 Mahoney. Complete genomic sequencing demonstrated the phylogenetic relationship (94.9% identity) of IS1 and IS2, which differed from the most closely related Sabin 1 by 5.4 and 8.3%, respectively. Both isolates had revertant-like mutations at nucleotides 480 and 6203. Deduced amino acid sequences indicated significant changes between IS1 and IS2 at the neutralizing antigenic site 1. Prolonged enteral replication, evolution, and shedding of poliovirus by immunodeficient patients should be considered in the poliovirus eradication strategy.
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“They also appear to be largely independent of immune selection, as evolution rates are similar during prolonged replication in immunodeficient patients (10, 88, 117, 223) and during widespread circulation (60, 84, 85, 108).”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [10]
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“Other CVID patients developed paralysis several years after receipt of the implicated OPV dose (typically the last dose) (10, 88, 223).”
From VACCINE-DERIVED POLIOVIRUSES AND THE ENDGAME STRATEGY FOR GLOBAL POLIO ERADICATION (2005) · cites this paper as [10]
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Metadata
- Authors
- Bellmunt, A., May, G., Zell, R., Pring-Åkerblom, P., Verhagen, W., & Heim, A.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- University of Münster (DE)
- Friedrich Schiller University Jena (DE)
- Corresponding author
- Heim, Albert
- Venue
- Virology
- Publisher
- Elsevier BV
- Published
- 1999-12
- Volume
- 265
- Issue
- 2
- Pages
- 178-184
- ISSN
- 0042-6822 (ISSN-L)
- OpenAlex
- W2041302422
- Cited by
- 128
- References
- 18
- Citations by year
- 2024: 2 · 2023: 3 · 2021: 1 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 13 · 2013: 4 · 2012: 10
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Virology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Evolution and Genetic Dynamics
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Keywords
- poliovirus type 1, viral evolution, Mahoney strain, antigen characterization, revertant mutations, viral shedding, polio eradication, long-term viral persistence
- MeSH terms
- Amino Acid Sequence, Base Sequence, Humans, Molecular Sequence Data, Nucleic Acid Conformation, Phylogeny, Poliomyelitis, RNA, Viral, Time Factors, Virus Replication, Sequence Alignment, Immunocompromised Host, Virus Shedding, Sequence Homology, Amino Acid, Poliovirus, Evolution, Molecular, 5' Untranslated Regions
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